Vol. 27 No. 3 (2023)
CASE REPORTS

Spinal cord stimulation for refractory angina pectoris: a case series

pdf (Русский)
  • D.D. Duse,
  • V.Ya. Babchenko,
  • R.S. Kiselev,
  • V.I. Murtazin
D.D. Duse
Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Novosibirsk
V.Ya. Babchenko
Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Novosibirsk
Bio
R.S. Kiselev
Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Novosibirsk
V.I. Murtazin
Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Novosibirsk
DOI: https://doi.org/10.21688/1681-3472-2023-3-83-88

Published 2023-09-29

Keywords

  • Angina Pectoris,
  • Case Report,
  • Quality of Life,
  • Surveys and Questionnaires

How to Cite

Duse, D., Babchenko, V., Kiselev, R., & Murtazin, V. (2023). Spinal cord stimulation for refractory angina pectoris: a case series. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 27(3), 83–88. https://doi.org/10.21688/1681-3472-2023-3-83-88

Copyright (c) 2023 Duse D.D., Babchenko V.Ya., Kiselev R.S., Murtazin V.I.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Background: Refractory angina pectoris significantly reduces the length and quality of life. One of the methods to control symptoms and improve the quality of life of patients with refractory angina pectoris is spinal cord stimulation.
Objective: To evaluate the effectiveness of spinal cord stimulation in controlling anginal pain in the long-term period over a long follow-up (>7 years).
Methods: We retrospectively studied treatment results of 9 patients (6 men and 3 women) in the long-term follow-up from October 2012 to November 2022. Anginal pain and patients' quality of life were assessed using the visual analog scale and the Seattle Angina Questionnaire, respectively.
Results: The mean follow-up was 7.33 ± 1.11 years. In the long-term postoperative period, regression of pain according to the visual analog scale was 52.3% (P = .0025). The Seattle Angina Questionnaire showed an improvement of the quality of life by 52.2% (P = .0993).
Conclusion: Spinal cord stimulation allows to make control of chronic anginal pain more efficient, improve patients’ length and quality of life, and reduce the frequency and severity of disability.

Received 8 December 2022. Revised 17 July 2023. Accepted 18 July 2023.

Informed consent: The patient’s informed consent to use the records for medical purposes is obtained.

Funding: The study did not have sponsorship.

Conflict of interest: The authors declare no conflict of interest.

Contribution of the authors: The authors contributed equally to this article.

pdf (Русский)

References

  1. Болевые синдромы в неврологической практике / под ред. В.Л. Голубева. 3-е изд., перераб. и доп. М.: МЕДпресс-информ, 2010. 336 с. Golubev V.L., editor. Pain syndromes in neurological practice. 3th ed. Moscow: MEDpress-inform Publ.; 2010. 336 p. (In Russ.)
  2. Данилов А.Б., Данилов Ал.Б. Управление болью. Биопсихосоциальный подход. М.: АММ ПРЕСС, 2012. 568 с. Danilov A.B., Danilov Al.B. Pain management. Biopsychosocial approach. Moscow: AMM PRESS Publ.; 2012. 568 p. (In Russ.)
  3. Mannheimer C., Camici P., Chester M.R., Collins A., DeJongste M., Eliasson T., Follath F., Hellemans I., Herlitz J., Lüscher T., Pasic M., Thelle D. The problem of chronic refractory angina; report from the ESC Joint Study Group on the Treatment of Refractory Angina. Eur Heart J. 2002;23(5):355-370. PMID: 11846493. https://doi.org/10.1053/euhj.2001.2706
  4. Fraker T.D. Jr, Fihn S.D.; 2002 Chronic Stable Angina Writing Committee; American College of Cardiology; American Heart Association; Gibbons R.J., Abrams J., Chatterjee K., Daley J., Deedwania P.C., Douglas J.S., Ferguson T.B. Jr, Gardin J.M., O'Rourke R.A., Williams S.V., Smith S.C. Jr, Jacobs A.K., Adams C.D., Anderson J.L., Buller C.E., Creager M.A., Ettinger S.M., Halperin J.L., Hunt S.A., Krumholz H.M., Kushner F.G., Lytle B.W., Nishimura R., Page R.L., Riegel B., Tarkington L.G., Yancy C.W. 2007 chronic angina focused update of the ACC/AHA 2002 guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 guidelines for the management of patients with chronic stable angina. J Am Coll Cardiol. 2007;50(23):2264-2274. PMID: 18061078. https://doi.org/10.1016/j.jacc.2007.08.002
  5. Buchser E., Durrer A., Albrecht E. Spinal cord stimulation for the management of refractory angina pectoris. J Pain Symptom Manage. 2006;31(4 Suppl):S36-S42. PMID: 16647595. https://doi.org/10.1016/j.jpainsymman.2005.12.008
  6. Hautvast R.W., Brouwer J., DeJongste M.J., Lie K.I. Effect of spinal cord stimulation on heart rate variability and myocardial ischemia in patients with chronic intractable angina pectoris — a prospective ambulatory electrocardiographic study. Clin Cardiol. 1998;21(1):33-38. PMID: 9474464; PMCID: PMC6656121. https://doi.org/10.1002/clc.4960210107
  7. Langford B., Hunt C., Lerman A., Mauck W.D. Pre-operative assessment of patients undergoing spinal cord stimulation for refractory angina pectoris. Pain Med. 2021;22(11):2763-2767. PMID: 33734390. https://doi.org/10.1093/pm/pnab105
  8. Langford B., Hunt C., Lerman A., Mauck W.D. The use of the Seattle Angina Questionnaire in patients who underwent spinal cord stimulation for refractory angina pectoris. Pain Med. 2021;22(4):1005-1009. PMID: 33624815. https://doi.org/10.1093/pm/pnaa447
  9. Imran T.F., Malapero R., Qavi A.H., Hasan Z., de la Torre B., Patel Y.R., Yong R.J., Djousse L., Gaziano J.M., Gerhard-Herman M.-D. Efficacy of spinal cord stimulation as an adjunct therapy for chronic refractory angina pectoris. Int J Cardiol. 2017;227:535-542. PMID: 27836302. https://doi.org/10.1016/j.ijcard.2016.10.105
  10. Andréll P., Yu W., Gersbach P., Gillberg L., Pehrsson K., Hardy I., Ståhle A., Andersen C., Mannheimer C. Long-term effects of spinal cord stimulation on angina symptoms and quality of life in patients with refractory angina pectoris — results from the European Angina Registry Link Study (EARL). Heart. 2010;96(14):1132-1136. PMID: 20483898. https://doi.org/10.1136/hrt.2009.177188
  11. Vervaat F.E., van der Gaag A., Teeuwen K., van Suijlekom H., Wijnbergen I. Neuromodulation in patients with refractory angina pectoris: a review. Eur Heart J Open. 2022;3(1):oeac083. PMID: 36632476; PMCID: PMC9825802. https://doi.org/10.1093/ehjopen/oeac083
  12. Yu W., Maru F., Edner M., Hellström K., Kahan T., Persson H. Spinal cord stimulation for refractory angina pectoris: a retrospective analysis of efficacy and cost-benefit. Coron Artery Dis. 2004;15(1):31-37. PMID: 15201618. https://doi.org/10.1097/00019501-200402000-00005
  13. Andersen C., Enggaard T.P., Scherer C. Spinal cord stimulation has proven benefit on pain and quality of life in patients with angina pectoris when less invasive therapies have failed. Neuromodulation. 2006;9(4):314-319. PMID: 22151765. https://doi.org/10.1111/j.1525-1403.2006.00073.x
  14. Шабалов В.А., Исагулян Э.Д. Нейромодуляция — современные методы хирургии боли. Тихоокеанский медицинский журнал. 2008;(1):16-21. Shabalov V.A., Isagulyan E.D. Neuromodulation — the modern methods of pain surgery. Pacific Medical Journal. 2008;(1):16-21. (In Russ.)
  15. Ашурков А.В., Левин Е.А., Муртазин В.И., Киселев Р.С., Орлов К.Ю., Кривошапкин А.Л., Шабалов В.А. Использование спинальной нейростимуляции в лечении пациентов с критической ишемией нижних конечностей. Патология кровообращения и кардиохирургия. 2017;21(2):29-42. https://dx.doi.org/10.21688/1681-3472-2017-2-29-42 Ashurkov A.V., Levin E.A., Murtazin V.I., Kiselev R.S., Orlov K. Yu., Krivoshapkin A.L., Shabalov V.A. Spinal cord stimulation in treatment of patients with critical lower limb ischemia. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2017;21(2):29-42. (In Russ.) https://dx.doi.org/10.21688/1681-3472-2017-2-29-42
  16. Кащеев А.А., Гуща А.О., Юсупова А.Р., Тюрников В.М., Арестов С.О., Вершинин А.В., Древаль М.Д., Полторако Е.Н., Петросян Д.В. Опыт стимуляции спинного мозга при синдроме оперированного позвоночника. Анналы клинической и экспериментальной неврологии. 2019;13(4):16-22. https://doi.org/10.25692/ACEN.2019.4.3 Kashcheev A.A., Gushcha A.O., Yusupova A.R., Turnikov V.M., Arestov S.O., Vershinin A.V., Dreval M.D., Poltorako Ye.N., Petrosyan D.V. Spinal cord stimulation in failed back surgery syndrome. Annals of Clinical and Experimental Neurology. 2019;13(4):16-22. (In Russ.) https://doi.org/10.25692/ACEN.2019.4.3
  17. Белова А.Н., Балдова С.Н. Нейромодуляция и спинальная спастичность. Трудный пациент. 2013;11(12):33-37. Belova A.N., Baldova S.N. Neuromodulation and spinal spasticity. Difficult Patient. 2013;11(12):33-37. (In Russ.)